4-H 510
4-H Project Record
(complete this form for each project)
Use tab key to move cursor to each field. Field will expand as you type.
 This Record Belongs to:
 Club Name:
Junior
Year:
Intermediate
Senior
Years in 4-H
Birth Date
 My Project is:
 Number of years in this project area:
 Date project started:
(Month/Day/Year)
 Date this year project was completed:
(Month/Day/Year)
 Size of project:
 Title of Project Activity Guide:
Level I,A
Level 2,B
Level 3,C
Year in Achievement Program Level:
Level 4,D
Year 1
Other
Year 2
Year 3
Number of lessons completed during the 1st year:
Number of lessons completed during the 2nd year:
Number of lessons completed during the 3rd year:
 In this project, I would like to do and learn:
I have completed this record and believe all information to be complete and accurate.
Member Signature
Date
Extension Educator
Volunteer/Leader Signature
Date
Date
Project Journal/Log
Date
Communications Topic or Title
Location
Rating
Date
Exhibit(s)
Location
Rating
Learning Experiences – Include project meetings/workshops, shows, concerts, learning
experiences, and anything related to your project. Record all the things as you do them.
Date
What I Did
What I Learned
Need more room? Add a page.
2
Project Financial Journal
Income is all the monies you receive from the sale of services, products, and premiums for this
4-H Project. Expenses are all the items you paid for to support this 4-H Project.
Date
Description of Income or Expense
3
Income
Expense
Income:
$ 0.00
Expenses:
$ 0.00
Profit (+) or Loss (-):
$ 0.00
List resources you used to learn more about your project. Include books, people, Internet,
bulletins.
Describe the life skills you have learned /practiced in this project under each “H” of the 4-H
Clover.
 HEAD (managing and decision making):
 HEART (relating and caring):
 HANDS (giving and working):
 HEALTH (living and being):
This project was . . .
This project has encouraged me to . . .
Supplemental Materials/Creative Time should be attached to your Record Sheet.
Developed by
L. Martin Hamilton
Alice Hevner
Mary Ellen Waltemire
Issued in furtherance of Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, University
of Maryland, College Park, and local governments. Cheng-i Wei, Dean and Director of University of Maryland Extension.
The University of Maryland is equal opportunity. The University’s policies, programs, and activities are in conformance with pertinent Federal
and State laws and regulations on nondiscrimination regarding race, color, religion, age, national origin, gender, sexual orientation, marital or
parental status, or disability. Inquiries regarding compliance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the
Educational Amendments; Section 504 of the Rehabilitation Act of 1973; and the Americans With Disabilities Act of 1990; or related legal
requirements should be directed to the Director of Human Resources Management, Office of the Dean, College of Agriculture and Natural
Resources, Symons Hall, College Park, MD 20742.
P2000